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Javier RC, Singh PV, Shrestha J, Abdalla R, Narang P, Patel H, Yadav KP, Patel T, Fadiora OE, Shahzad H, Abbas K. Trends and Immediate Outcomes of Syncope During Pregnancy: A Narrative Review. Cureus 2023; 15:e49833. [PMID: 38107209 PMCID: PMC10725736 DOI: 10.7759/cureus.49833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2023] [Indexed: 12/19/2023] Open
Abstract
Pregnancy-related syncope presents special difficulties due to the rapid physiological changes that occur throughout gestation. This narrative review provides a thorough summary of the patterns and pregnancy outcomes secondary to syncope during pregnancy. There is an increase in syncope burden during pregnancy, and hence it is critical that medical professionals understand the significance of syncope during pregnancy. Syncope can have a negative impact on the health of the mother as well as the fetus. Therefore, this review summarizes data from studies on syncope in pregnancy. It includes observational studies, case reports, and review articles. Early detection and proper management are very important because pregnant women who experience cardiac syncope are at risk of unfavorable neonatal and maternal outcomes. The review reveals diverse trends in syncope incidence during pregnancy, emphasizing the need for a nuanced understanding of temporal variations. Risks of injury, uteroplacental insufficiency, psychological effects, interruptions in prenatal treatment, possible aggravation of pre-existing diseases, and lifestyle changes are examples of immediate maternal repercussions. Pregnancy-related syncope is a complex condition that affects the health of the mother and the fetus. The study stresses the need for careful clinical treatment due to the rapid results and the diversity in incidence patterns. The unique component of a possible relationship to the brain health of offspring justifies further investigation in this area.
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Affiliation(s)
| | - Parth Vikram Singh
- Department of Medicine, Indira Gandhi Government Medical College, Nagpur, IND
| | - Jeena Shrestha
- Department of Medicine, Jalalabad Ragib Rabeya Medical College, Sylhet, BGD
| | - Rasha Abdalla
- Department of Medicine, Shendi University, Shendi, SDN
| | - Punay Narang
- Department of Medicine, Spartan Health Sciences University, Vieux Fort, LCA
| | - Harshkumar Patel
- Department of Medicine, Pandit Dindayal Upadhyay (PDU) Medical College, Rajkot, IND
| | - Kameshwar P Yadav
- Department of Medicine, Universal College of Medical Sciences, Bhairahawa, NPL
| | - Tirath Patel
- Department of Medicine, American University of Antigua, St. John's, ATG
| | - Olatunji E Fadiora
- Department of Medicine, Windsor University School of Medicine, Cayon, KNA
| | - Humayun Shahzad
- Department of Medicine, Punjab Medical College, Faisalabad, PAK
| | - Kiran Abbas
- Department of Community Health Sciences, Aga Khan University, Karachi, PAK
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WHEN AND HOW TO USE ORTHOSTATIC VITAL SIGNS. J Emerg Med 2022; 63:460-466. [DOI: 10.1016/j.jemermed.2022.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 07/11/2022] [Accepted: 09/05/2022] [Indexed: 11/12/2022]
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Cardiac and Vascular Causes of Syncope and Atherosclerosis. Curr Cardiol Rep 2022; 24:1241-1249. [PMID: 35913673 DOI: 10.1007/s11886-022-01757-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/22/2022] [Indexed: 11/03/2022]
Abstract
PURPOSE OF REVIEW Among the most common causes of cardiac syncope are arrhythmias and ischemic heart disease, both of which can coexist. The purpose of this review is to discuss the main causes of cardiac and vascular syncope related to atherosclerosis, its epidemiological and clinical aspects, warning signs, and initial approach. RECENT FINDINGS Cardiac syncope may have a frequency of up to 34% in elderly people. Atherosclerosis-related causes of cardiac and vascular syncope may be due to cardiac arrhythmia and/or structural impairment of the heart or arteries. Late ventricular tachycardia and late-onset high-grade atrioventricular block associated with myocardial ischemia may occur with syncope, which is related to higher mortality. Besides ventricular dysfunction, concentric remodeling is also a prognostic factor. In calcific degenerative aortic stenosis, syncope carries a worse prognosis than the other cardinal signs. Cardiac syncope has a high recurrence and mortality rate. There are red flag alerts that must be considered in risk stratification.
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Peacock S, Peel JB, Farres H, Miller D, Ng L, Freeman WD. Vasovagal-Mediated Emergency From a Left Internal Carotid Aneurysm. Neurohospitalist 2019; 10:69-70. [PMID: 31839870 DOI: 10.1177/1941874419840879] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Sarah Peacock
- Department of Critical Care, Mayo Clinic, Jacksonville, FL, USA
| | - J Brent Peel
- Department of Critical Care, Mayo Clinic, Jacksonville, FL, USA
| | - Houssam Farres
- Department of Vascular Surgery, Mayo Clinic, Jacksonville, FL, USA
| | - David Miller
- Department of Radiology, Mayo Clinic, Jacksonville, FL, USA
| | - Lauren Ng
- Department of Critical Care, Mayo Clinic, Jacksonville, FL, USA
| | - W David Freeman
- Department of Critical Care, Mayo Clinic, Jacksonville, FL, USA.,Department of Neurology, Mayo Clinic, Jacksonville, FL, USA.,Department of Neurosurgery, Mayo Clinic, Jacksonville, FL, USA
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Thyrotoxicosis: an unusual cause of syncope. Am J Emerg Med 2019; 37:797.e5-797.e6. [DOI: 10.1016/j.ajem.2019.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2019] [Accepted: 01/12/2019] [Indexed: 11/22/2022] Open
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Holmes J, Gokdogan Y. Subarachnoid haemorrhage: a sinister cause of transient loss of consciousness during oral sex. BMJ Case Rep 2019; 12:12/3/e228014. [PMID: 30862668 DOI: 10.1136/bcr-2018-228014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Transient loss of consciousness (TLOC) is a common presentation to the emergency department and has a multitude of causes from benign to potentially fatal. We describe the case of a young female presenting with TLOC during sexual activity that was subsequently diagnosed with subarachnoid haemorrhage. She had normal neurology and only moderate headache. She was subsequently transferred to a neurosurgical unit and underwent endovascular coiling of a small anterior communicating artery aneurysm. She was discharged 15 days later without sequelae.
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Affiliation(s)
| | - Yunus Gokdogan
- Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
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Preveden A, Majdevac S, Detki M, Mladenović N, Okiljević B, Šušak S. Prehospital management of aortic dissection. SCRIPTA MEDICA 2019. [DOI: 10.5937/scriptamed50-21282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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